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General NPI Number Information
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NPI Number | 1306967617
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Entity Type | Individual
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Provider Name | ROSANNA MURRAY L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 611 BROADWAY SUITE 529
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City | NEW YORK
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State | NY
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Zip | 10012-2608
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Country | US
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Telephone | 212-505-7386
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Fax | 212-505-7386
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Provider Business Mailing Address
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Address Line | 305 VALLEY RD
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2312
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Country | US
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Telephone | 973-509-9745
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Fax | 973-509-9745
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | PR018359-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NJ
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